Organization
ALLERGY & ASTHMA MANAGEMENT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLA BOKHARI PANZA MD (PRESIDENT)
(248) 478-6300
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 310, NOVI, MI 48374-1209
(248) 380-9630
(248) 380-3459
Mailing address
26850 PROVIDENCE PKWY, SUITE 310, NOVI, MI 48374-1209
(248) 380-9630
(248) 380-3459
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
RB069790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030F320750
BCBS OF MICHIGAN
MI
05
—
104137425
—
MI
01
—
114121
CARE CHOICES
MA
01
—
C5076
MCARE
MI
Enumeration date
10/03/2006
Last updated
01/29/2014
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